Active NPI
Marvin Joseph, RRT
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Patchogue, NY
National Provider Identifier
1699375774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- 008111
- Practice address
- 25 Schoenfeld Blvd
Patchogue, NY 11772-2982 - Phone
- (631) 289-7700
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Certified Respiratory Therapist | 2278G1100X | 008111 | NY | |
| Home Health Certified Respiratory Therapist | 2278H0200X | 008111 | NY | |
| General Care Registered Respiratory Therapist | 2279G1100X | 008111 | NY | |
| Educational Registered Respiratory Therapist | 2279E1000X | 008111 | NY | |
| Geriatric Care Registered Respiratory Therapist | 2279G0305X | 008111 | NY | |
| Pulmonary Rehabilitation Registered Respiratory Therapist | 2279P1005X | 008111 | NY | |
| SNF/Subacute Care Registered Respiratory Therapist | 2279S1500X | 008111 | NY | |
| Pulmonary Rehabilitation Certified Respiratory Therapist | 2278P1005X | 008111 | NY | Primary |
| Home Health Registered Respiratory Therapist | 2279H0200X | 008111 | NY |
Addresses
Primary practice location
25 Schoenfeld Blvd
Patchogue, NY 11772-2982
Mailing address
14736 225TH St
Springfield Gardens, NY 11413-4101
Phone (646) 773-3691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1699375774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14736 225TH ST",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114134101",
"telephone_number": "646-773-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SCHOENFELD BLVD",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722982",
"telephone_number": "631-289-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "MARVIN",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2278G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, General Care",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2279E1000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Educational",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2279G0305X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Geriatric Care",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2279P1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2279S1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
"state": "NY",
"license": "008111",
"primary": false
},
{
"code": "2278P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
"state": "NY",
"license": "008111",
"primary": true
},
{
"code": "2279H0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": "NY",
"license": "008111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.